Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science 2021)


Application Summary:
 
Course Enrolled (First Choice): B.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG21102530 Name: Aditya Kisan Niphade
  Address: AT.POST.SHIRWADE WANI Shirwad Wani Nashik,pimpalgaon
Telephone No.: Mobile no: 8010381400
E-mail: Adityaniphade1400@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102530 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG21102530
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Kisan Niphade
Mother's Name: Jyoti
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jul 2003 Nationality: India
Place of Birth: Nashik Personal Identification Mark: Birth mark on shoulder
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 31 Jul 2003 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
 
Address for Communication: AT.POST.SHIRWADE WANI Shirwad Wani Nashik,pimpalgaon
State: Maharashtra Country: India
Pin: 423111 City/District: Nashik
Mobile no: 8010381400 Telephone No. with STD code:
Aadhar Card No:422084991727 E-mail: Adityaniphade1400@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kisan Shivram Niphade Relationship with candidate: Father
Parents Date of Birth: 30 Jun 1986 Parent's/Guardian's Occupation/Designation: Farming
   
Office Address:
   
Address: AT.POST.SHIRWADE WANI Shirwad Wani Nashik,pimpalgaon
Country: India State: Maharashtra
City/District: Nashik Pin: 423111
Tel: Mobile no.: 9850031433
Fax: Email: kisannipade433@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Pimpalgaon Highschool School: Bhonsala military college
City: Pimpalgaon bswant City: Nashik
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Gangapur road,jehan circle rambhoomi ,nashik 05
  Centre code:
  Pin: 423111
  Contact Nos: 09850031433
  Email: kisannipade433@gmail.com
  Aggregate Percentage: 85
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 80 80
Mathematics 100 90 90
Physics, Chemistry & Mathematics combined Percentage: 81
English 100 84 84
   
IMU CET Application Number: 6019916  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
03/2017 Kho kho State 2 ND
07/2019 Volleyball District 3rd
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
10/2019 Adventure 10 days
01/2020 Military 1 year
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spend time with my family n friends through going on tracking at fort
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have am interest in shipping
Why do you wish to join TMI?: Best college for my aim
What are your hobbies?: Playing video games, reading books and cycling
What are your strengths?: My self-confidence
What are your weaknesses?: Failure
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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